Patients who have been diagnosed with or are suspected of having head and neck cancer based on physical examination or endoscopy, or those with enlarged lymph nodes in the neck, who need screening to detect lesions in the larynx, bronchi, and esophagus, or to assess the lesions before treatment., Patients excluding vulnerable subjects oral cavity cancer, oropharyngeal cancer, hypopharyngeal cancer, laryngeal cancer and neck node unknown primary cancer
Conditions
Interventions
Operational definition
Transnasal flexible panendoscopy (TNE)
1. Patients were examined at outpatient department, after fasting for 6 hours prior to the procedure.
2. Cottonoid soaked 4% lidocaine and
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
flexible panendoscopy,Rigid panendoscopy
Sponsors
Research Department of Otolaryngology, Faculty of Medicine ,Siriraj Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1.Patients were diagnosed or suspected malignancy in oral cavity, oropharynx, hypopharynx, larynx and neck node unknown primary cancer who need to second primary screening or pre-treatment tumor mapping 2.Patients hreater than 18-year-old
Exclusion criteria
Exclusion criteria: 1.Patients who had clinical of upper airway obstruction 2.Patients who had trismus characterized by an inability to open the mouth narrower than 35 millimeters 3.Patients with cervical spine disease who are contraindicated from extending their neck
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of complete procedure of laryngoscopy,bronchoscopy and esophagoscope date of procedure number patients (%) who can direct visualization from scope following operation definition in all 3 procedure complete | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of second primary tumor date of procedure number patients (%) who have second primary tumor during procedure,sufficient biopsy rate two weeks after date of procedure numer patients(%) in tissue samples adequate for pathological diagnosis/ patient who underwent biopsy,cost date of procedure until patient discharge from hospital at this admission median(range) in baht,operative time date of procedure median(range) in minutes,waiting time enrollment date to date of procedure median(range) in days,Intraoperative complication date of procedure number of patients(%) | — |
Countries
Thailand
Contacts
Public ContactSarunya Jarrangdet
Faculty of Medicine Siriraj Hospital
Outcome results
None listed